Spontaneous remission of a third-nerve palsy in meningeal lymphoma. Academic Article

abstract

• We report on a patient with spontaneous remission of a third-nerve palsy who was subsequently found to have meningeal lymphoma. Initial magnetic resonance images (MRI) showed bilateral enhancement of the third nerves. Follow-up MRI 7 months later, without treatment, showed complete resolution. One year after initial presentation, the patient developed multiple lumbosacral radiculopathies and examination of a nerve root biopsy specimen disclosed a B-cell lymphoma. Serial cerebrospinal fluid analyses over the previous year showed occasional atypical cells, later found to resemble closely the biopsy cell type. We conclude that meningeal lymphoma may have a protracted course, with spontaneous remission of both clinical and neuroimaging findings.

authors

• Wells, Gregg

published proceedings

• Ann Neurol

author list (cited authors)

• Galetta, S. L., Sergott, R. C., Wells, G. B., Atlas, S. W., & Bird, S. J

citation count

• 25

complete list of authors

• Galetta, SL||Sergott, RC||Wells, GB||Atlas, SW||Bird, SJ

publication date

• July 1992

publisher

• Wiley  Publisher

published in

• Annals of Neurology  Journal

keywords

• Aged
• Cranial Nerve Diseases
• Humans
• Lymphoma
• Magnetic Resonance Imaging
• Male
• Meningeal Neoplasms
• Oculomotor Nerve
• Paralysis
• Remission, Spontaneous

PubMed Central ID

• 1642461

Digital Object Identifier (DOI)

• 10.1002/ana.410320117

start page

• 100

end page

• 102

volume

• 32

issue

• 1

URL

• http://dx.doi.org/10.1002/ana.410320117